-LRB- CNN -RRB- -- Things are n't looking good for people with allergies in Tennessee . Not only is the pollen apocalypse on its way , three of the state 's major cities made the Asthma and Allergy Foundation 's annual list of the 10 worst places for spring allergy sufferers .

These so-called allergy capitals are ranked based on pollen levels , use of allergy medications and the number of board-certified allergists in the areas , according to a foundation statement .

Everyone in the United States can expect their allergies to be worse this year , thanks to an unusually wet winter , the foundation says .

`` Severe weather patterns can bring higher temperatures , higher pollen levels and increased exposure to mold , resulting in spring allergies that can peak stronger and last longer , '' Dr. Bill Berger , a California allergist , said in the statement .

Here are the top 10 worst allergy cities for 2013 :

1 . Jackson , Mississippi

2 . Knoxville , Tennessee

3 . Chattanooga , Tennessee

4 . McAllen , Texas

5 . Louisville , Kentucky

6 . Wichita , Kansas

7 . Dayton , Ohio

8 . Memphis , Tennessee

9 . Oklahoma City , Oklahoma

10 . Baton Rouge , Louisiana

Residents in Springfield , Massachusetts ; Buffalo , New York ; and Grand Rapids , Michigan , may face more severe cases than they have in years past . These cities all jumped at least 10 spots up on the list from the spring of 2012 .

The Asthma and Allergy Foundation also releases a list every year of the worst cities for fall allergy sufferers . The spring allergy capitals are based on tree pollen counts , while the fall cities are ranked on ragweed pollen counts from September through November of the previous years . Many of the cities on the fall list are on the spring list , but there are a few differences .

1 . Louisville , Kentucky

2 . Wichita , Kansas

3 . Knoxville , Tennessee

4 . Jackson , Mississippi

5 . McAllen , Texas

6 . Dayton , Ohio

7 . Oklahoma City , Oklahoma

8 . Memphis , Tennessee

9 . Madison , Wisconsin

10 . Baton Rouge , Louisiana

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Jackson , Mississippi , tops the list of the worst cities for allergy sufferers

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Tennessee has three major cities in the list 's top 10

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Extreme weather conditions may make allergies worse this season